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General NPI Number Information
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NPI Number | 1639347446
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Entity Type | Organization
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Legal Business Name | DONALD L. MULDER, P.A.
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Dates
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Enumeration Date | 02/14/2008
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Last Update Date | 04/23/2008
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Provider Practice Location Address
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Address Line | 700 FLOURNOY RD STE 2
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City | ALICE
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State | TX
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Zip | 78332-4088
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Country | US
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Telephone | 361-668-0618
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Fax | 361-668-9677
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Provider Business Mailing Address
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Address Line | 700 FLOURNOY RD STE 2
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City | ALICE
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State | TX
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Zip | 78332-4088
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Country | US
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Telephone | 361-668-0618
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Fax | 361-668-9677
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. DONALD L. MULDER
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Credential | M.D.
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Telephone | 361-668-0618
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | J6182
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License Number State | TX
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